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RECOMMENDATIONS
WHY???
Lets
improve
ourselves!!
Not
just
for
NABH
accreditaEon
PART-A
Has
to
be
duly
lled
by
the
Nurse
in
charge
and
make
sure
that
it
is
lled
by
the
Eme
the
treaEng
surgeon
comes!
PART-B
To
be
duly
lled
by
the
aUending
doctor!
Simple
MBBS
Stu
Discharge
Planning
Need
to
be
completed
at
admission
PLAN
OF
CARE
PLAN
OF
CARE
MEDICAL/CONSERVATIVE
Tick
boxes
make
the
job
easy,
its
going
to
take
only
a
few
SURGICAL
f
your
Eme
minutes
o
A good arEst always signs o Consultants need to countersign every admission within 24 hours
Registrars
CASUALTY
CMO-Nurses-Registrars
IP
WITHIN 1 HOUR
IP
WITHIN 24 HOURS
VERBAL
orders
A
verbal
order
shall
be
issued
only
by
anybody
who
is
a
Consultant
or
above
that
and
none
other
than
that..
Before
closing
the
conversaEon
(telephone
or
person)
the
nurse
or
duty
medical
ocer
shall
read
back
the
order
to
the
doctor
and
conrm
if
the
wriUen
down
order
is
correct,
in
case
of
drugs
she
shall
even
spell
the
drug
to
recheck
with
the
consultant
and
then
close
it.
Doctor
who
issued
the
verbal
order
within
24
hrs
should
counter
sign
that
verbal
order
TIME
OUT
All
work
should
cease
during
a
period
of
Eme
when
all
members
of
the
operaEve
/
procedural
team,using
ac+ve
communica+on,
conrms
correct
paEent,
correct
procedure,
correct
site
and
side,
sterility
of
the
equipment
availability
of
all
items
needed
for
anaesthesia
and
surgery
anEbioEc
prophylaxis
any
paEent
allergies.
Donot start operaEng before this checklist is done MAKE TIMEOUT A HABIT
CONSENT
Please
make
sure
it
is
taken
by
the
treaEng
doctor/
team
member
but
not
the
nurse
incharge!!!
SURGEONS NOTES
Admission
Note
We
need
to
explain
to
the
pt
Disease
Inv
needed
Treatment
process
Cost
(
esEmated)
Probable
outcomes
This
form
takes
care
of
all
this
Please
ll
this
at
admission
Please ll in the orders Inv requested Plan of care Spl instrucEons Preop orders This form is for the pt to go from OPD / Casualty to the ward
Admission
Note
This
part
need
to
be
lled
in
by
Front
Oce
/
PaEent
counselor
Once completed this will go into the case sheet The visiEng consultant will have a beUer idea why he is there in the rst place
CODES
Emergency
Codes
CODE
BLUE
RED
BLACK
PURPLE
PINK
Grey
MEANING
MEDICAL
EMERGENCY
FIRE
BOMB
THREAT
SECURITY
THREAT
CHILD
ABDUCTION
External
Disaster/
Mass
Emergency
HIC
HIC
MANUAL
Available
on
every
desktop
AnEbioEc
policy
Hand
Hygiene
Surveillance
Tool
kit
Needle
sEck
injury
VULNERABLE
PATIENTS
Admission
and
Discharge
criteria
for
ICU
Who
all
are
Vulnerable
paEents
and
care
of
such
of
paEents
Geriatric
paEents
(>65
years
of
age)
Pediatric
paEents
(<16
years
of
age)
Mentally
challenged
paEents
Physically
challenged
paEents
Comatose
paEents
10
COMMANDMENTS
Write
Medica+ons
Order
in
Capital
LeSers.
Document
your
visit
with
Notes
Duly
Signed
with
the
Date,
Time,
Signature
and
Name.
Avoid
Verbal
Orders.
Use
of
Alcohol
Hand
Rub
Before
And
AWer
Each
Pa+ent
Examina+on.
Make
a
Habit
of
pa+ent
and
Family
educa+on
as
Part
of
Care.
10
COMMANDMENTS
Ensure
Informed
Consent
for
all
Procedures.
Assess
and
Reassess
Pa+ent
as
per
Hospital
Policy.
Prepare/
Counter
Sign
Discharge
Summaries
and
Talk
to
Pa+ent
Regarding
Discharge
Instruc+ons
Follow-up
and
Care
at
Home.
Prescribe
as
per
Hospital
Formulary
and
Follow
the
An+bio+c
Policy.
Have
Formal
Mee+ngs/
Briengs
with
the
other
Specialists
when
more
than
One
Doctor
is
trea+ng
the
Pa+ent.